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Monitoring Lung Function with Electrical Impedance Tomography in the Intensive Care Unit
Published on: September 6, 2024
Electrocardiographic changes in a right-sided pneumothorax
Ismail Sooltan1, Sharzib Khan2, Firuza Dzhakhangirli3
1Cardiac Intensive Care, Leeds Teaching Hospitals NHS Trust, UK.
Abstract:
A pneumothorax is an extrapulmonary air accumulation within the pleural space between the lung and the chest wall. Symptoms usually reported include dyspnoea and chest pain. However, there are many life-threatening conditions with the same symptomology making early pneumothorax diagnosis challenging, such as acute coronary syndrome. Electrocardiogram (ECG) changes caused by left and right sided pneumathoraces have been reported, but awareness remains poor. This case describes a 51-year old male who presented with a right-sided pneumothorax, new ECG changes and elevated troponin. The case highlights the importance of recognising right-sided pneumothorax-associated ECG manifestations in patients presenting with acute chest symptoms.
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